Supplemental Membership Application
In order to ensure proper listings within NADCA Directories used for consumer referrals, as well as to provide information throughout your company, it is a mandatory NADCA membership requirement that Regular Members apply for Supplemental Membership for each branch office. Supplemental Members are separate branch locations of Regular Members. Supplemental Member dues are $250 per office, payable annually.

Supplemental Members are listed in the NADCA Membership Directory and receive all membership benefits, except that Supplemental Members are ineligible to vote. Supplemental Members must have a NADCA-certified ASCS on staff, hold minimum general liability insurance coverage of $500,000, as well as hold any applicable state licenses that may be required in the state you operate for duct cleaning and/or cutting access holes into a system. One individual cannot serve as the certified ASCS for more than one location.
Section I - Multiple Locations
Please list each physical location in the spaces below.
Name of Regular
Member Company		 : *
City : *
State :
*
Country : *
Zip : *
Name Of Branch Office : *
Street Address : *
City : *
State :
*
Country : *
Zip : *
Phone : *
Fax :
Email : *
Web Site :
Designated Contact : *
Name of ASCS : *
Cert. # : *
My company provides:
Residential cleaning Commercial cleaning (Check all that apply.)
NADCA is recognized as a non-profit 501(c)(6) organization by the U.S. Internal Revenue Service. As such, membership dues, gifts, or contributions are not deductible as charitable contributions for federal income tax purposes:

Please note, you are not required to have an ASCS to apply. If your company submits this application without having a certified ASCS on staff, the application will be held in abeyance until a staff member becomes NADCA ASCS certified. During the period when the application is being held in abeyance, the NADCA ASCS certification examination will be administered at the NADCA member rate to representatives of your company. Companies with applications in abeyance are NOT approved members of NADCA and cannot make any claims of holding NADCA membership and/or certification.
Section II – Membership Dues Payment & Application Fee
Your company’s payment of one full year’s membership dues is required along with this application, regardless of whether or not your company has an ASCS on staff. Dues are invoiced each year in May, payable by July 1. If your application is approved in any month other than the month of July, you will receive a pro-rated invoice the following May. Applicants must meet all membership criteria within 12 months of applying or their dues will be forfeited.


In addition to one year’s membership dues, a $100 processing fee is required with this application. This is a non-refundable fee and shall not be refunded in the event your application is denied.
Payment Information:
Annual Membership Dues: $250
Application Fee: $100
Card Type : *
Name as it appears on the card : *
Card Number : *
Amount authorized to charge : $350 *
Expiry Date :
Month: Year:
*
Section III - Submittal
I, the undersigned, certify that all the information provided in this application is true and accurate. The National Air Duct Cleaners Association, its officers, directors, committee members, employees, agents and divisions (“NADCA”) may review my application and I will cooperate promptly and fully in such review. I will submit to NADCA such documents and information deemed necessary to confirm the information in this application. All documents submitted to NADCA are the property of NADCA and will not be returned to me. NADCA may communicate any and all information relating to my membership application, membership status and any pendency or outcome or disciplinary proceedings to state and federal authorities, and others. I waive all claims relating to or rising out of review by NADCA of this application, and I indemnify, release, discharge and exonerate NADCA for any action taken relating to such review, including denial of my application, revocation, suspension or other sanction for any action taken pursuant to the rules and standards of NADCA. I understand that NADCA will deposit the dues payment remitted with this application immediately upon its submittal, but that deposit of the payment does not signify acceptance into the membership. I understand that I shall be notified of membership acceptance by NADCA in writing and that receipt of this application by NADCA and the deposit of dues DO NOT constitute approval of membership.

We further understand that should we decide to withdraw this application because of inability or unwillingness to have a staff member ASCS certified, NADCA will refund the membership dues portion of the funds remitted with this application, but shall retain the application processing fee. We also understand that certification examination fees are non-refundable, regardless of the outcome of the examination (i.e., whether the candidate passes or fails). Applicants must meet all membership criteria within 12 months of applying or their dues will be forfeited.

I shall not make any claims of holding NADCA membership until such official notification, including an official Membership Certificate from the association is received. By signing, I acknowledge that I have read and understand the information in this application and agree to abide these terms and rules.
Compliance with NADCA Bylaws, Standards and Code of Ethics
Supplemental Members agree to comply with NADCA Bylaws, Standards and the NADCA Code of Ethics. NADCA is a standard-setting organization that establishes standards related to the performance of HVAC system cleaning services. NADCA Standards establish acceptable cleanliness levels for HVAC systems following cleaning, methods to test system cleanliness, and other requirements designed to protect the health and safety of occupants and workers. An order form for NADCA Standards and other publications has been included with this application. The NADCA Code of Ethics is printed at the end of this section. The Code of Ethics is enforced by NADCA’s Ethics Committee, which investigates allegations from the public of unethical conduct by member companies and recommends appropriate action to NADCA’s Board of Directors for resolution of charges.
NADCA Code of Ethics
  1. We will serve our customers with integrity and competence.
  2. We will perform our work using Source Removal methods. In order to eliminate or prevent the delivery of airborne pollutants into indoor air spaces, through HVAC ductwork, we will remove the dust and others contaminants from the system. Thus, we pledge to administer Source Removal methods, cleaning the system ductwork as thoroughly as possible, before applying any coatings or treatments, including deodorizers, disinfectants, sealants.
  3. We will be honest and forthright in our advertising.
  4. We will provide our clients with accurate inspections and evaluations of the cleanliness and physical condition of their HVAC systems, using this information to determine the type of cleaning and maintenance services required, if any.
  5. We will provide only necessary and desired services to our clients, and will not use furnace/air duct cleaning as a means of selling unnecessary or unwanted products or services.
  6. We will provide services only after completing the necessary bonding and licensing procedures.
  7. We will utilize the services and products of those who possess specialized skills, tools, or trades not possessed by us when circumstances call for work to be done which we are unable to perform.
  8. We will stay abreast of new developments in technology, tools of the trade, building codes, the Uniform Mechanical Code, and any other codes or information that directly affects our work.
  9. We will require that all employees of our firm practice furnace/air duct cleaning in accordance with NADCA Guidelines and the Code of Ethics.
  10. We will perform our services in accordance with the current published standards of the association.
I Agree with Submittal, Compliance with NADCA Bylaws, Standards and Code of Ethics and NADCA Code of Ethics.
 
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